Homestead_Piper H. PREPARER
Preparer of the Sales Disclosure Form Title
Amy Pollard Settlement Agent
- - -
Address(number and street.city,stale.country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,Evansville, IN 47715
I. SELLERS)/GRANTOR(S) �-�^� ��''''��
Seller 2-Name as appears on conve�Et>xe�o ment ■ '
Seller 1-Name as it appears on conveyance document � ■ ,13)
Big Creek Farms,Inc,an Indiana Corporation Address(number and street) 1
Address(number and street) JUL 2 5 2022
765 Cathy Drive
I City,state.and ZIP Code City.state.and ZIP Code cif � �
I Princeton,IN 47670
a.iik
ICountry Country GIBSON COUNTY AUDITOR
US Telephone number
E-mail address
IUnder penattie of perjury,t hereby certify this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as
t required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred
I real property,or omits or falsifies any Information required to be provided,commits f Set Ba evel 5 felony_
Signature of Seller
�1-1-1(...1(fr49of 0S0(j 1 Date signed(mnt/dd/yyyy) Printed Name of Seller I Date signed(mmtdd/yyyy)
Printed Namee�e�r I 9 07/21/2022
07/21/2022 _
4 J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
f Buyer 1 —Name as it appears on conveyance document Buyer 2-Name as it appears on conveyance document
Seean T Piper
f James S Piper
E S ES (numbertate St Apt 2A and street) Address(number and street)
I Address525 E State St Apt 2A
525 — — -
City,state,and ZIP Code City.slate,and ZIP Code
I Princeton,IN 47670 Princeton,IN 47670
Country
j Country US
-mail
ess
( US
NO CONDITION
(XI 0 3. Homestead
i r.Will this property be the buyer's primary 4.Solar Energy Heating or Cooling System
I ® residence? O Q
� 5.Wind Power Device
2. Does the buyer have a homestead to be vacated 0
tor this residence?If yes,provide address: 0 Q 6.Hydroelectric Power Device
I _nt 0
Address(number and street) 12 7.Geothermal Energy Heating or Cooling Device
City,state.ZIP code,and county l 1 -\\ -t 1-02 - G Oy.11 2_— '32 a-
Under penalties of perjury.I hereby certify that this Sates Disclosure,to the best of my knowledge and belief,is true,correct and complete
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